2019-2020 Parent Income Verification 19PIVER
To request a copy of a *Federal IRS Tax Return Transcript, Wage Statement, OR Verification of Non-Filing Letter call the
IRS at 1-800-908-9946, go to http://www.irs.gov/individuals/Order-a-Transcript or use a 4506T form https://www.irs.gov/pub/irs-pdf/f4506t.pdf
2017 Income Information for Tax Filers – Check the box that applies
Parent(s)/Step-parent* (if applicable)
I/we filed a 2017 Federal Tax Return
Attach a copy of parent(s)* 2017 IRS Tax Return Transcript**
Parents* married/remarried after the 2017 tax year
or
Parents (biological) are unmarried but living together
Attach a copy of the 2017 IRS Tax Return Transcript** for the parent* who FILED and
complete the Non-Tax Filers section below for the parent who did not file a tax return
Parent(s)* filed an amended 2017 IRS tax return
Attach a copy of both a 2017 IRS Tax Return Transcript** and a signed copy of the
2017 IRS Form 1040X “Amended US Individual Tax Return” that was filed with the IRS
2017 Income Information for Non-Tax Filers – Check the box that applies
Parent(s)/Step-parent* (if applicable)
One or both parents* were employed in 2017 but not
required to file a tax return
Complete the chart below. Attach copies of all W-2s** and a 2017 IRS Verification of
Non-filing** status letter dated on or after October 1, 2018 for non-filer(s)
Neither parent* was employed and neither had income
earned from work in 2017
Attach a 2017 IRS Verification of Non-filing** status letter dated on or after October 1,
2018 for non-filer(s)
Susy’s Auto Body Shop (example)
$
$
$
Parent(s)* received the following benefits in 2017 as part of their financial support:
Supplemental Security Income (SSI)
Social Security Benefits
TANF
Other ________________________________________________
Asset Information
Complete this chart about the parents’ asset information as of the date you signed the FAFSA or CA Dream Act Application.
1. Cash/checking/saving balances as of the date you signed the FAFSA or CA Dream Act Application $
2. Investment value (rental real estate, stocks) as of the date you signed the FAFSA or CA Dream Act Application
3. Business Value as of the date you signed the FAFSA or CA Dream Act Application $
CERTIFICATION
I/WE HEREBY CERTIFY THAT ALL INFORMATION REPORTED ON THIS FORM AND ANY ATTACHMENTS HERETO ARE TRUE, COMPLETE AND
ACCURATE. FALSE INFORMATION OR MISREPRESENTATION WILL BE CAUSE FOR DENIAL, REDUCTION, WITHDRAWAL, AND/OR REPAYMENT OF
FINANCIAL AID.
________________________________________________________________ __________________________
Student’s Signature Date
________________________________________ ____________________________________________ __________________________
Parent’s Name (Please print) Parent’s Signature Date
2019-2020 PARENT INCOME VERIFICATION
STUDENT INFORMATION
Please PRINT clearly with black/blue ink
SJC Financial Aid Office * 1499 N State Street * San Jacinto, CA 92583 * Telephone: (951) 487-3245
MVC Financial Aid Office * 28237 La Piedra Road * Menifee, CA 92584 * Telephone: (951) 639-5245
Email: finaid@msjc.edu * Website: www.msjc.edu
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